title: [Assessment of results of transesophageal echocardiography in patients with atrial flutter].
abstract: We performed 89 transesophageal electric cardiac stimulation procedures (TEECS) in order to restore sinus rhythm in 75 (84.3%) men and 14 (15.7%) women with type I atrial flutter (AF) due to coronary heart disease (n=59, 66.3%) and cardiosclerosis after myocarditis (n=30, 33.7%). Before cardioversion all patients underwent transthoracic and transesophageal echocardiography. All patients were divided into two groups: in group I (n=39) mean left atrium appendage ejection velocity was less or equal 40 cm/s, in group 2 (n=50) - > 40 cm/s. Patients of group I had significantly longer duration of AF episode, more often had concomitant hypertension and atrial fibrillation. Cardioversion in group I was less effective with frequent relapses and transformation into constant form. Patients of group 2 had no spontaneous contrast phenomenon grade II-IV and intra-atrial hemodynamics of type II-III, while at TEECS cardioversion straight into sinus rhythm without episode of transient fibrillation was observed significantly more frequently, suggesting possibility of shortening of anticoagulant preparation period before the procedure.
authors.affiliation: National Scientific Center M.D. Strazhesko Institute of Cardiology MAS of Ukraine, ul. Narodnogo opolcheniya 5, 03680 Kiev.
authors.forename: Iu V
authors.initials: IuV
authors.lastname: Zinchenko
authors.forename: M P
authors.initials: MP
authors.lastname: Ikorkin
authors.forename: S V
authors.initials: SV
authors.lastname: Potashev
mesh_terms: D000925:Anticoagulants / Q000627:therapeutic use*; D020517:Atrial Appendage / Q000000981:diagnostic imaging / Q000503:physiopathology; D001281:Atrial Fibrillation / Q000209:etiology / Q000517:prevention & control; D001282:Atrial Flutter / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D009202:Cardiomyopathies / Q000150:complications; D003327:Coronary Disease / Q000150:complications; D017548:Echocardiography, Transesophageal / Q000379:methods*; D004554:Electric Countershock / Q000009:adverse effects / Q000379:methods; D005260:Female; D006339:Heart Rate; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D012008:Recurrence; D016896:Treatment Outcome
chemical_list: D000925:Anticoagulants